Individual
DR. NICOLE GUNASEKERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MBA
Contact information
Practice address
14305 SOUTHCROSS DR W STE 110, BURNSVILLE, MN 55306-7011
(651) 340-1064
(651) 330-0429
Mailing address
14305 SOUTHCROSS DR W STE 110, BURNSVILLE, MN 55306-7011
(651) 340-1064
(651) 330-0429
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
286727
MA
207N00000X
Dermatology Physician
Primary
78388
MN
Other
Enumeration date
05/30/2017
Last updated
03/15/2025
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